Fulminant endogenous endophthalmitis caused by Brucella melitensis, a case report
Key Clinical Message Ocular brucellosis is a potential cause of endogenous endophthalmitis in endemic areas, which can be associated with sight‐threatening complications. Abstract To report a patient with unusual fulminant endogenous endophthalmitis due to Brucella melitensis. A 25‐year‐old woman wi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-11-01
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| Series: | Clinical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ccr3.8200 |
| _version_ | 1797449727497732096 |
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| author | Seyedeh Maryam Hosseini Mohammad Baghi Mohamadreza Ansari Astaneh Mehrdad Motamed Shariati |
| author_facet | Seyedeh Maryam Hosseini Mohammad Baghi Mohamadreza Ansari Astaneh Mehrdad Motamed Shariati |
| author_sort | Seyedeh Maryam Hosseini |
| collection | DOAJ |
| description | Key Clinical Message Ocular brucellosis is a potential cause of endogenous endophthalmitis in endemic areas, which can be associated with sight‐threatening complications. Abstract To report a patient with unusual fulminant endogenous endophthalmitis due to Brucella melitensis. A 25‐year‐old woman with a history of fever and right shoulder pain from 4 months ago and a positive Wright test presented with acute panuveitis in her right eye. All laboratory tests were unremarkable except for the positive polymerase chain reaction (PCR) test of the vitreous sample for B. melitensis. Despite the therapeutic efforts, including multiple vitreoretinal surgeries, and intravitreal and systemic antibiotics, the patient's final follow‐up examination after 6 months revealed hand motion vision, hypotonia, and pre‐phthisis bulbi status. The fellow eye was entirely normal. Brucella endogenous endophthalmitis can be fulminant and result in poor visual outcomes. It is suggested to consider ocular brucellosis as a potential cause of endogenous endophthalmitis in endemic areas. |
| first_indexed | 2024-03-09T14:30:14Z |
| format | Article |
| id | doaj.art-e6fcdcd3c606472aa38091bc8a8252f4 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-03-09T14:30:14Z |
| publishDate | 2023-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-e6fcdcd3c606472aa38091bc8a8252f42023-11-28T04:14:45ZengWileyClinical Case Reports2050-09042023-11-011111n/an/a10.1002/ccr3.8200Fulminant endogenous endophthalmitis caused by Brucella melitensis, a case reportSeyedeh Maryam Hosseini0Mohammad Baghi1Mohamadreza Ansari Astaneh2Mehrdad Motamed Shariati3Eye Research Center Mashhad University of Medical Sciences Mashhad IranEye Research Center Mashhad University of Medical Sciences Mashhad IranEye Research Center Mashhad University of Medical Sciences Mashhad IranEye Research Center Mashhad University of Medical Sciences Mashhad IranKey Clinical Message Ocular brucellosis is a potential cause of endogenous endophthalmitis in endemic areas, which can be associated with sight‐threatening complications. Abstract To report a patient with unusual fulminant endogenous endophthalmitis due to Brucella melitensis. A 25‐year‐old woman with a history of fever and right shoulder pain from 4 months ago and a positive Wright test presented with acute panuveitis in her right eye. All laboratory tests were unremarkable except for the positive polymerase chain reaction (PCR) test of the vitreous sample for B. melitensis. Despite the therapeutic efforts, including multiple vitreoretinal surgeries, and intravitreal and systemic antibiotics, the patient's final follow‐up examination after 6 months revealed hand motion vision, hypotonia, and pre‐phthisis bulbi status. The fellow eye was entirely normal. Brucella endogenous endophthalmitis can be fulminant and result in poor visual outcomes. It is suggested to consider ocular brucellosis as a potential cause of endogenous endophthalmitis in endemic areas.https://doi.org/10.1002/ccr3.8200Brucella melitensisbrucellosisendogenous endophthalmitispanuveitis |
| spellingShingle | Seyedeh Maryam Hosseini Mohammad Baghi Mohamadreza Ansari Astaneh Mehrdad Motamed Shariati Fulminant endogenous endophthalmitis caused by Brucella melitensis, a case report Clinical Case Reports Brucella melitensis brucellosis endogenous endophthalmitis panuveitis |
| title | Fulminant endogenous endophthalmitis caused by Brucella melitensis, a case report |
| title_full | Fulminant endogenous endophthalmitis caused by Brucella melitensis, a case report |
| title_fullStr | Fulminant endogenous endophthalmitis caused by Brucella melitensis, a case report |
| title_full_unstemmed | Fulminant endogenous endophthalmitis caused by Brucella melitensis, a case report |
| title_short | Fulminant endogenous endophthalmitis caused by Brucella melitensis, a case report |
| title_sort | fulminant endogenous endophthalmitis caused by brucella melitensis a case report |
| topic | Brucella melitensis brucellosis endogenous endophthalmitis panuveitis |
| url | https://doi.org/10.1002/ccr3.8200 |
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